NPIMap

Organization Active NPI

Spindale Drug Co Inc

  • Community/Retail Pharmacy
  • Spindale, NC
National Provider Identifier
1346347283
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02897 Issued in NC
Legal business name
SPINDALE DRUG CO INC
Practice address
109 W Main St
Spindale, NC 28160-1539
Phone
(828) 286-3746
Fax
(828) 286-8509
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Koonce
Title
Owner
Phone
(828) 286-3746

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01499 NC
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 02897 NC Primary

Addresses

Primary practice location

109 W Main St
Spindale, NC 28160-1539

Mailing address

109 W Main St
Spindale, NC 28160-1539
Phone (828) 286-3746

Other identifiers 2

IdentifierTypeStateIssuer
3411206OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0815159MedicaidNC

Other names 1

  • SPINDALE DRUG COMPANY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930070943 NC DME Supplier - Pharmacy 0345367579 Practice locations: Spindale, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Spindale Drug Co Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1346347283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601539",
            "telephone_number": "828-286-3746",
            "fax_number": "828-286-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281601539",
            "telephone_number": "828-286-3746",
            "fax_number": "828-286-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINDALE DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "KOONCE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-286-3746"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01499",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "02897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3411206",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0815159",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPINDALE DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spindale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.